Active NPI
Elizabeth Wade, NP
- Family Nurse Practitioner
- Jacksonville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209012500
- Practice address
- 1600 W Morton Ave
Jacksonville, IL 62650-2718 - Phone
- (217) 528-7541
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.012500 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209012500 | IL | Primary |
Addresses
Primary practice location
1600 W Morton Ave
Jacksonville, IL 62650-2718
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (175) 287-5412
Other practice location 1
14 Gettysburg Dr
Jacksonville, IL 62650-1057
Phone (217) 883-0081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Founders LN
Jacksonville, IL 62650-3919
Phone (217) 291-1041
1600 W Walnut St
Jacksonville, IL 62650-1136
Phone (217) 245-9541
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
Hospital & facility affiliations
- Elara Caring V
- Jacksonville Memorial Hospital
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.012500 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Current | Accepting new patients |
Locations
800 School St
Carrollton, IL 62016
Phone (217) 942-3600
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
15 Founders Ln
Jacksonville, IL 62650
Phone (217) 243-0300
200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- elizabeth.wade.1@28977.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springfield, IL
- NPI 1780823377
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1164814711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "175-287-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W MORTON AVE",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626502718",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "14 Gettysburg Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "IL",
"postal_code": "626501057",
"country_code": "US",
"telephone_number": "217-883-0081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.012500",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209012500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.